
<table class="table" style="width: 100%">
    <tr>
        <td style="width:33%">Matrícula</td>
        <td>--</td>
    </tr>
    <tr>
        <td>Nome</td>
        <td>--</td>
    </tr>
    <tr>
        <td>Possui Adicional</td>
        <td>
            <select class="span5">
                <option value="0">Escolha</option>
                <option value="1">Sim</option>
                <option value="2">Não</option>
            </select>
        </td>
    </tr>
</table>

<div class="row-fluid">
    <div class="span12 text-center">
        <input type="button" class="btn btn-primary" value="Salvar">
        <input type="button" class="btn btn-warning" value="Cancelar">
    </div>
</div>